PugJesus,

All true, but who is going to force change in those countries?

Material conditions. Like the continued issue of emigration of skilled workers. That’s… that’s what the quote is getting at.

Of course nurses are needed in the US, but are they not needed in those countries too?

… yes. That’s why the emigration causing investment in the country of origin to create a supply in the local labor market is counted as a positive in this analysis.

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